About 57% of hospitals will earn Medicare bonuses for 2018 under the Hospital Value-based Purchasing Program, new CMS data show. The results are a slight improvement from 2017.
With high-deductible insurance generally requiring patients these days to pay for all care until June, hospitals are relying on revenue-cycle cost estimators to have frank payment conversations with patients before treatment.
The U.S. over the last half century has moved inexorably toward universal coverage: Medicare and Medicaid; the Children's Health Insurance Program; the ACA. It will get there one way or another.
CMS' proposed home health payment model alarms providers. Would it boost access for medically complex patients?
The home health groupings model is designed to encourage providers to better serve Medicare patients with complex medical needs rather than focusing on those who need therapy services. But provider and patient groups fear it would shrink access for all types of patients.
The CMS is interested in launching a new pay model that will target behavioral health services and is seeking public comment on what the new effort should look like. The announcement comes at a time when agency officials say they are still committed to value-based care.
In starting over, we need to differentiate between measures for measures' sake, measures for improving internal processes and meaningful measures reported for external accountability about how patients fare.
Despite a broad push to provide healthcare that emphasizes value over volume, health systems still largely rely on a fee-for-service model as they gradually take on more financial risk through new payment methods.
The only silver lining in the massive storm cloud hovering over the Affordable Care Act is the persistence of bipartisan support for payment reforms aimed at improving healthcare quality and lowering its cost.
The majority of medical practice leaders still are not ready to comply with the Medicare Access and CHIP Reauthorization Act, more than halfway through the first year of its rollout, according to a survey.
More states are establishing reimbursement models that pay federally qualified health centers for value-based services such as at-home visits, transportation services and telehealth.
While efforts to repeal and replace the ACA are buzzing on Capitol Hill, MACRA is quietly transforming health care – disrupting the fee-for-service model and often driving more value and better patient outcomes.
A new type of financing is linking private investors who want to do good — and make some money in the process — with not-for-profits looking to get upfront funding for programs where they're paid for results.